| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,115 |
2,006 |
$137K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
696 |
628 |
$53K |
| V2020 |
Frames, purchases |
3,070 |
2,884 |
$45K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
784 |
743 |
$42K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,269 |
2,147 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,132 |
1,052 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
435 |
422 |
$5K |
| 83861 |
|
306 |
298 |
$5K |
| 92341 |
|
94 |
94 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
25 |
25 |
$880.08 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
25 |
25 |
$412.00 |
| 92015 |
Determination of refractive state |
2,927 |
2,781 |
$0.00 |